Blue Iris Center For Therapeutic Services

LBN: Blue Iris Center For Therapeutic Services
Blue Iris Center For Therapeutic Services is an health care organization with primary practice located at 6607 18Th Ave S Suite 201, Richfield MN 55423-2784. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Blue Iris Center For Therapeutic Services can be contacted via phone (612) 455-4040, or through Chikazawanelson, Grant D via phone (612) 455-4040.

Contact Information

Primary practice address
6607 18Th Ave S Suite 201 Richfield MN 55423-2784
Phone: (612) 455-4040
Fax: (612) 455-4041
Website:
Map and Directions
Authorized official contact:
Name: Chikazawanelson, Grant D PHD, LMFT
Phone: (612) 455-4040

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 0943 Minnesota

Profile Details

NPI number 1285841072
LBN Legal business name Blue Iris Center For Therapeutic Services
DBA Doing business as
Authorized official Chikazawanelson, Grant D PHD, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285841072 NPPES
Minnesota Other 69B21CH BLUE CROSS BLUE SHIELD

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